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Health financing policy, medicines and universal health coverage

TBS Seminar on Essential Medicines and Health Products. Health financing policy, medicines and universal health coverage. Matthew Jowett, PhD Senior Health Financing Specialist Dept. Health Systems Governance & Financing WHO Geneva 29 th October 2013. Financial protection

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Health financing policy, medicines and universal health coverage

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  1. TBS Seminar on Essential Medicines and Health Products Health financing policy, medicines and universal health coverage Matthew Jowett, PhD Senior Health Financing Specialist Dept. Health Systems Governance & Financing WHO Geneva 29th October 2013

  2. Financial protection • (no-one becomes poor as a result of paying for care) Equity in service use • (reduce gap between need and utilization) • Quality of services • (sufficient to improve health) Universal health coverage goals

  3. 3 dimensions of health care coverage Equity in service use Quality

  4. Moldova 2007Population enrolment in national health insurance scheme

  5. XXXXXXXX

  6. - Formal sector workers (salaried) - Civil servants and private sector - Mandatory contributions (payroll tax) • Informal sector / non-salaried • Above the official poverty line • Voluntary contributions with no subsidy • Informal sector / non-wage • Below the official poverty line • Fully subsidized insurance contributions shared between local and national government

  7. Financial coverage dimension .

  8. Insurance effect? Moldova…..

  9. Georgia - outpatient medicines drives OOPs

  10. More (public) moneyforhealthPublicspendingcrowds displaces out-of-pocketpayments

  11. More health for the money……Ref: World Health Report 2010, Chapter 4

  12. Estimated average (median) retail mark-ups: Georgia and selected EU countries EU price source: OBIG/PPRI

  13. Affordability of standard treatments as % of minimum subsistence allowance

  14. Portugal - May 2011

  15. Someinstrumentstosupport UHC

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